8168 Federal Register / Vol. 72, No. 36 / Friday, February 23, 2007 / Notices 

solely for the approval of the HEDIS 

collection, which is now a stand alone 

collection. Form Number: CMS–10219 

(OMB#: 0938–NEW); Frequency: Yearly; 

Affected Public: Business or other forprofit and Not-for-profit institutions; 

Number of Respondents: 705; Total 

Annual Responses: 705; Total Annual 

Hours: 33,840. 

3. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Medicare 

Contractor Provider Satisfaction Survey 

(MCPSS); Form No.: CMS–10097 (OMB# 

0938–0915); Use: The Centers for 

Medicare & Medicaid Services will 

obtain feedback from Medicare 

providers via a survey about 

satisfaction, attitudes and perceptions 

regarding the services provided by 

Medicare Fee-for-Service (FFS) Carriers, 

Fiscal Intermediaries, Durable Medical 

Equipment Suppliers, and Regional 

Home Health Intermediaries and 

Medicare Administrative Contractors. 

The survey focuses on basic business 

functions provided by the Medicare 

Contractors such as inquiries, provider 

communications, claims processing, 

appeals, provider enrollment, medical 

review and provider audit and 

reimbursement. Providers will receive a 

notice requesting they use a specially 

constructed Web site to respond to a set 

of questions customized for their 

contractor’s responsibilities. The survey 

will be conducted yearly and annual 

reports of the survey results will be 

available via an online reporting system 

for use by CMS, Medicare Contractors, 

and the general public. Due to changes in CMS’ reporting 

needs, CMS is requesting a potential 

increase in the number of completed 

surveys. This increase will allow CMS 

to have not only Contractor-specific, but 

also jurisdiction and state-specific data 

which, in turn, will enable Contractors 

to increase and implement performance 

improvement activities within their 

organizations. This increase will affect 

the 2008 and 2009 administrations of 

the survey. Frequency: Reporting—

Annually; Affected Public: Business or 

other for-profit, not-for-profit 

institutions; Number of Respondents: 

24,279; Total Annual Responses: 

24,279; Total Annual Hours: 8,346. 

4. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Municipal 

Health Services Cost Report; Form 

Number: CMS–255 (OMB# 0938–0155); 

Use: In June 1978, the Robert Wood 

Johnson Foundation (RWJF) and Health 

Care Financing Administration (HCFA), 

now the Centers for Medicare and 

Medicaid Services (CMS), agreed to 

collaborate in demonstrations and 

evaluations of new methods of 

delivering and reimbursing medical 

services in order to simultaneously 

increase access to primary care and 

decrease total health care costs per 

person served. The Municipal Health 

Services Program (MHSP) is the first of 

these cooperative efforts. The chief 

objective of the MHSP is to assist 

municipalities in providing health care 

services to medically underserved areas. 

By expanding existing programs of 

health departments and hospitals with a 

limited increase in a municipality’s 

health budget, services traditionally 

provided by public health programs and 

hospital outpatient departments will be 

brought together in a single locality. 

Participating clinics are reimbursed 

for all their routine costs based on the 

average cost per visit. Ancillary costs 

are paid according to 14 categories: 

Laboratory, x-ray, pharmacy, 

transportation, optometrist, dentist, 

audiologist, podiatrist, eyeglasses, 

dentures, devices, physical therapy, 

speech therapy, and occupational 

therapy. In order to determine the cost 

of the clinical services being provided, 

it is necessary to determine the direct 

and indirect cost incurred by the 

participating clinics for the routine and 

ancillary cost centers. For evaluation 

purposes, it is necessary to accurately 

identify the total visit count of the 

clinics for all patients and for Medicare 

patients. The MHSP CMS Form 255 cost 

report is the form that is being used to 

report the costs to the participating 

clinics of providing the covered services 

as well as to gather the data needed to 

properly evaluate the demonstration. 

Frequency: Recordkeeping and 

Reporting—Annually; Affected Public: 

Not-for-profit institutions; Number of 

Respondents: 14; Total Annual 

Responses: 14; Total Annual Hours: 

476. 

5. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Psychiatric Unit 

Criteria Worksheet and Supporting 

Regulations at 42 CFR 412.25 and 

412.27. Form Number: CMS–437 (OMB# 

0938–0358); Use: The psychiatric unit 

criteria worksheets are necessary to 

verify that these units comply and 

remain in compliance with the 

exclusion criteria for the Medicare 

prospective payment system. Frequency: 

Reporting—Annually; Affected Public: 

Business or other for-profit, not-forprofit institutions, and State, Local and 

Tribal Government; Number of 

Respondents: 1333; Total Annual 

Responses: 1333; Total Annual Hours: 

333. 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’ Web Site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786–

1326. 

To be assured consideration, 

comments and recommendations for the 

proposed information collections must 

be received at the address below, no 

later than 5 p.m. on April 24, 2007: 

CMS, Office of Strategic Operations and 

Regulatory Affairs, Division of 

Regulations Development—C, Attention: 

Bonnie L Harkless, Room C4–26–05, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: February 13, 2007. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E7–3026 Filed 2–22–07; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10148] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS), Department of Health 

and Human Services, is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this burden 

estimate or any other aspect of this 

collection of information, including any 

of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 

performance of the Agency’s function; 

(2) the accuracy of the estimated 

burden; (3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and (4) the use of 

automated collection techniques or 

other forms of information technology to 


cprice-sewell on PROD1PC61 with NOTICES
Federal Register / Vol. 72, No. 36 / Friday, February 23, 2007 / Notices 8169 

minimize the information collection 

burden. 

1. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: HIPAA 

Administrative Simplification 

Enforcement Non-Privacy Enforcement; 

Use: The Health Insurance Portability 

and Accountability Act (HIPAA) became 

law in 1996 (Pub. L. 104–191). Subtitle 

F of Title II of HIPAA, entitled 

‘‘Administrative Simplification,’’

requires the Secretary of HHS to adopt 

national standards for certain 

information-related activities of the 

health care industry. The HIPAA 

provisions, by statute, apply only to 

‘‘covered entities’’ referred to in section 

1320d–2(a)(1) of this title. 

Responsibility for administering and 

enforcing the HIPAA Administrative 

Simplification Transactions, Code Sets, 

Identifiers and Security rules has been 

delegated to CMS. The initial 

information collected to enforce these 

rules will be used to initiate 

enforcement actions. This information 

collection change clarifies the ‘‘Identify 

the HIPAA Non-Privacy complaint 

category’’ section of the complaint form. 

In this section, complainants are given 

an opportunity to check the ‘‘Unique 

Identifiers’’ option to categorize the type 

of HIPAA complaint being filed. The 

revised form now includes a ‘‘’’For a 

Unique Identifier Complaint’’ section, 

that allows a complaint to further 

categorize their identifier complaint as 

either a ‘‘National Provider Identifier 

(NPI)’’ or an ‘‘Employer Identification 

Number (EIN)’’ complaint. Form 

Number: CMS–10148 (OMB#: 0938–

948); Frequency: Reporting—On 

occasion; Affected Public: Individuals or 

households, Business or other for-profit, 

Not-for-profit institutions, and State, 

Local, or Tribal governments; Number of 

Respondents: 500; Total Annual 

Responses: 500; Total Annual Hours: 

500. 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS Web Site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786–

1326. 

Written comments and 

recommendations for the proposed 

information collections must be mailed 

or faxed within 30 days of this notice 

directly to the OMB desk officer: OMB 

Human Resources and Housing Branch, 

Attention: Carolyn Lovett, New 

Executive Office Building, Room 10235, 

Washington, DC 20503, Fax Number: 

(202) 395–6974. 

Dated: February 13, 2007. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E7–3028 Filed 2–22–07; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–2540–96] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS), Department of Health 

and Human Services, is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this burden 

estimate or any other aspect of this 

collection of information, including any 

of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 

performance of the Agency’s function; 

(2) the accuracy of the estimated 

burden; (3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and (4) the use of 

automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

1. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Skilled Nursing 

Facility and Skilled Nursing Facility 

Complex Cost Report; Use: Providers of 

services participating in the Medicare 

program are required under sections 

1815(a) and 1861(v)(1)(A) of the Social 

Security Act to submit annual 

information to achieve settlement of 

costs for health care services rendered to 

Medicare beneficiaries. The CMS–2540–

96 cost report is needed to determine 

the amount of reimbursement, that is 

due these providers furnishing medical 

services to Medicare beneficiaries; Form 

Number: CMS–2540–96 (OMB#: 0938–

0463); Frequency: Reporting—Yearly; 

Affected Public: Business or other forprofit; Number of Respondents: 15,037; 

Total Annual Responses: 15,037; Total 

Annual Hours: 2,947,252. 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS Web Site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786–

1326. 

Written comments and 

recommendations for the proposed 

information collections must be mailed 

or faxed within 30 days of this notice 

directly to the OMB desk officer: OMB 

Human Resources and Housing Branch, 

Attention: Carolyn Lovett, New 

Executive Office Building, Room 10235, 

Washington, DC 20503, Fax Number: 

(202) 395–6974. 

Dated: February 13, 2007. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E7–3032 Filed 2–22–07; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–1542–N] 

Medicare Program; Announcement of 

New Members to the Advisory Panel 

on Ambulatory Payment Classification 

(APC) Groups 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), Department 

of Health and Human Services (DHHS). 

ACTION: Notice. 

SUMMARY: This notice announces five 

new members selected to serve on the 

Advisory Panel on Ambulatory Payment 

Classification (APC) Groups (the Panel). 

The purpose of the Panel is to review 

the APC groups and their associated 

weights and to advise the Secretary, 

DHHS, (the Secretary) and the 

Administrator, CMS, (the 

Administrator) concerning the clinical 

integrity of the APC groups and their 

associated weights. We will consider the 

Panel’s advice as we prepare the annual 

updates of the hospital outpatient 

prospective payment system (OPPS). 

FURTHER INFORMATION CONTACT: For 

inquiries about the Panel, please contact 


cprice-sewell on PROD1PC61 with NOTICES